Provider Demographics
NPI:1396770970
Name:BRIGGS, CAROLYNJO (DC,)
Entity type:Individual
Prefix:DR
First Name:CAROLYNJO
Middle Name:
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:DC,
Other - Prefix:DR
Other - First Name:JO
Other - Middle Name:
Other - Last Name:BRIGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:9555 S EASTERN AVENUE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-8008
Mailing Address - Country:US
Mailing Address - Phone:702-385-3090
Mailing Address - Fax:702-407-3076
Practice Address - Street 1:9555 S EASTERN AVENUE
Practice Address - Street 2:SUITE 240
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-8008
Practice Address - Country:US
Practice Address - Phone:702-385-3090
Practice Address - Fax:702-407-3076
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB253111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor